# MOBILE THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720072580
- **Authorized official:** MS. KRISTEN M. HARRIS PT, GCS (OWNER)
- **Authorized official phone:** (336) 613-4111

## Contact information

- **Practice address:** 5126 31ST AVE S, GULFPORT, FL 33707-5622
- **Practice address phone:** (727) 350-1012
- **Practice address fax:** (727) 350-1012
- **Mailing address:** PO BOX 531078, SAINT PETERSBURG, FL 33747-1078
- **Mailing address phone:** (727) 350-1012
- **Mailing address fax:** (727) 350-1012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 02/07/2016
